Innovation Center of Nursing Research, West China School of Medicine/West China Hospital, Sichuan University, No.37, Guoxue Alley, Chengdu, 610041 Sichuan, China; Department of Nursing, Henan Provincial Key Medicine Laboratory of Nursing, Henan Provincial People's Hospital, Zhengzhou, Henan, China.
Department of Nursing, Henan Provincial Key Medicine Laboratory of Nursing, Henan Provincial People's Hospital, Zhengzhou, Henan, China.
Geriatr Nurs. 2021 May-Jun;42(3):772-775. doi: 10.1016/j.gerinurse.2021.04.003. Epub 2021 Apr 25.
To investigate the needed, unneeded and unmet health care services among rural community-dwelling older adults in China and examine the influencing factors, aiming to facilitate the global development of the home care system for a healthier world.
This cross-sectional study investigated rural areas in three provinces in Western China. A total of 1727 rural community-dwelling older adults were enrolled. The needed, unneeded and unmet health care services were assessed by the Supply and Demand of Health Care Services (SD-HCS) questionnaire for older adults.
Respect (73%, 1265/1727) was the most needed. The other top 9 needed mainly belonged to the divisions of health monitoring and information regarding chronic diseases. Re-employment or part-time jobs (71%, 1230/1727) was the most unneeded. All five protection and safety items were the most unmet but needed. Religion was the main influencing factor of those health care services that were less unmet but needed.
Respect was basic for older adults, and chronic disease management was in great demand among rural community-dwelling older adults. Due to low willingness and the crisis workforce, a more flexible retirement policy is needed in rural China. It is urgent to improve the emergency care system in rural areas. Last but not least, more research is needed to explore the association between religion and health.
调查中国农村社区居住的老年人对卫生保健服务的需求、不需要和未满足情况，并探讨其影响因素，旨在为全球居家养老体系的发展提供参考，以实现更健康的世界。
本横断面研究调查了中国西部三个省份的农村地区。共纳入 1727 名农村社区居住的老年人。采用老年人卫生服务供需调查问卷评估老年人的需要、不需要和未满足的卫生保健服务。
尊重（73%，1265/1727）是最需要的。其他前 9 项主要属于慢性病健康监测和信息的卫生服务领域。再就业或兼职（71%，1230/1727）是最不需要的。所有五项保护和安全项目是最未满足但需要的。宗教是那些未满足但需要的卫生保健服务的主要影响因素。
尊重是老年人的基本需求，慢性病管理是农村社区居住的老年人的主要需求。由于农村地区的低意愿和劳动力危机，中国农村地区需要更灵活的退休政策。迫切需要改善农村地区的紧急护理体系。最后但并非最不重要的是，需要进一步研究探索宗教与健康之间的关系。
